Do Statins Prevent Heart Attack? Here Is The Truth
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- čas přidán 2. 03. 2022
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🩺ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.
At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine. We find a lot of undiagnosed prediabetes or insulin resistance. Treating unrecognized risk factors like prediabetes allows reduction of risk and prevention of disease.
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What about simvastatin? I have issues taking Crestor and the alternative you mention is not available in the Philippines. I am currently taking atovastatin 5mg. But would simvastatin work like Crestor to reduce cardiovascular inflammation? Thank you for all your videos!
Simvastatin is pretty good for CC inflammation.
Thank you for replying!
@@JesseJDogBoartfield YW!
I got neuropathy from taking Simvastin. I don’t recommend it
@@Steven-gc6os me too from atorvastatin and other medications
Thank you Dr for this clear and concise message!
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Amazing timing as this topic is exactly what I'm trying to rationalize for myself.
Summary...
- If you have plaque build-up, you have confirmed cardiovascular disease (CVD) and should start taking a statin.
- The decision to make is which one and the dosage to take based on your gender and other medical conditions.
Low dose, & Rosuvastatin or Pitavastatin.
Yes.
The information from this channel is life saving. Like many doctors, my GP has no clue about this IR and CV inflammation and what causes it.
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Hi doc. Long time since we talked. Could you tell me again what statin regimen and which one you take? I’m still doing keto but my blood test two years ago showed an ldl of 303. Just started keto and was told this happens. I’m still keeping off that old 150 extra pounds. Thank you!!
Do statins prevent a heart attack? Excellent Question. I would love it if you did a video on Relative Risk Reduction vs Absolute Risk Reduction, and Number Needed to Treat with statins.
Relative risk reduction = about 35%. Absolute risk reduction = about 1%. Number needed to treat = about 80. But I think you already know these numbers which is why you asked the question. But here's the rub.... Those trials conducted by the statin manufacturer were conducted on people without known CVD. Later studies show that statins absolutely do help to calcify 'soft' plaque, the stuff the ruptures into the arteries and causes strokes and heart attacks. SO.... when you have a very high calcium score (mine is 610 at age 57), then you will want to do everything you can to calcify (harden) the soft plaque to stabilize it. This is mostly done by diet, exercise, and statins, in that order. But if you simply have high LDL and no plaque build-up in your coronary arteries, statins are not worth taking due to the possible side effects and low risk reduction. As for me, I'll take my 5mg dose of Rosuvastatin to help with plaque stabilization for now along with my extremely low-carb diet and daily weight lifting and cardio workouts.
54 years old , had a heart attack last April .. was on 20 mg atorvastatin for 10 years prior . Cholesterol levels not to bad at the time it happened . Doc said it was hereditary because I’m in pretty good shape as I work out regularly . 5 stints later now I’m on the top dose 80 ml plus a few more drugs .. Luckily I really have no side affects & I’m alive to talk about it . I don’t know what my point is here just sharing some info .. lol . Best advise is get a CT scan
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Exactly!!
Get a CT scan, early in life. Keep track.
I'm 64. Got a coronary artery calcium score check, 7 years ago. Should have checked at a younger age. Thank God I was okay. But, I worked out moderately most of my life.
My CACS was 59.2
Not too shabby.
My doc has me on crestor 10mg a day. I backed off, after my own research, and take 5mg a day.
Sometimes every other day.
@Anthony Shaw my situation is almost identical to yours although my score was 490 six years ago. I also cut back to 5 mg daily. Hopefully that's the right dosage for effectiveness
@@bartrobinson2103
At 5mg a day, it should lower cholesterol 60 to 80 points in 2 to 3 months, for most folks.
It did mine. But, what's most important is keeping track of CAC Score & apo b liproproteins, and your blood particle numbers.
Go low carb. Get rid of the sugar.
Exercise. Lots of walking.
I don't jog anymore. Wanna protect my knees and hips at 64.
I do alot of walking & some weight lifting/resistance training.
@Anthony Shaw oddly my cholesterol numbers have always been in the normal range. I'm on the low-dose Statin only for the anti-inflammatory effects and plaque stabilization hopefully. I do vigorous weight training and Cardio and I'm very lean. I just have to work on my diet a little more like most people! Thanks for sharing your thoughts and goodnight.
Dr Brewer……Good video with a Clear message. Thank you. But……..
At 1 minute into the video there is I believe an editing error that could confuse people. It says “IF THAT HOT PLAQUE GOES IN AND TOUCHES THE BLOODSTREAM IT’LL DECREASE THE FORMATION OF CLOTS”. I’m sure the video meant to say that SOFT PLAQUE TOUCHING BLOOD WILL CAUSE THE FORMATION OF CLOTS.
There are Clear statements about the Benefits of low dose specific statins I.E. reducing Arterial Inflamation and therefore allowing dangerous hot soft plaques to calcify and become much less dangerous.
Are you taking CoQ10?
Also, you must discuss all-cause mortality. Reducing heart attack deaths while increasing other deaths to compensate is required for informed consent....
Dr Ford........whats your view on "incliserin" twice a year compared to Statins....thanks
209 on my CT Cal score, and this is exactly what my cardio but me on, low dose satin and baby aspirin.
I have been on Pravastatin (40 mg/day) for a few years. Recently, I had a stroke which took the vision in my right eye.
The doctor raised the dose to 80 mg/day. I have 50% occlusion in the right carotid. Also, I suffer from severe neuropathy.
Does Pravastatin reduce cardiovascular inflammation? Was raising the dose necessary? Is this the best statin for me?
Thank you for any response. I am a fan of your videos and truly appreciate your efforts.
Dr. Brewer: The main reason that I continue to take statins is that I have found stops my Crohn's disease.
Very interesting!! Thanks for sharing!!
Thanks! 55 yr old female, pre-diabetic, insulin resistant, with lymphoma. Cardiac CT showed slight plaque, but 50% carotid. Cardiologist wants me on 10mg Rosvastatin every day, with a potential to increase it. I said nope, but would consider 5 mg every other day. Labs are barley above average. Am I off, or should I take the 10mg every day?
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I'm pretty sure his video answered the question of whether you should take a statin. Regardless of what your labs say, the carotid scan confirms without a doubt that you have cardiovascular disease. Science indicates that w/o a change, your plaque will only get worse. If you're lucky, you will only experience mild side effects of restricted blood flow and have surgery to remove the plaque. The other possible consequence is a stroke that causes no brain damage. Next would be a stroke with permanent paralysis/brain damage. The worst case would be, well, you know the answer.
@@richardpellisyour a know it all chatting shite
Doctor Ford , you recommend statins but what about diabetes, kidney disease etc ?
İ could not understand. 2 times a week 2 and half 5 mg crestor? Why not everyday 5 mg?
Hi Dr Brewer.
I have been treating my raised cholesterol levels with plain Niacin for over 10 years at a daily dose of 3grams , I have reluctantly decided to try a low dose of Crestor 5mg daily but concerned whether I should still take the Niacin incase of any interactions ?
Great channel by the way.
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Thanks. Many take the combination. Including me.
Thanks for this info. I haven't been able to tolerate statins, but it's been at higher doses (20mg). I'm on Praluent injectable now, which I can tolerate, but I don't think it reduces inflammation like statins. I would love to see you talk about Praluent and/or Repatha, two of the self injectable cholesterol drugs. I'll have to ask my cardiologist for low dose statins. Although, I've heard statins increase risk for diabetes. Is this true?
Its very true, everyone who is taking statins.. later in 2-3-4-5 years can expect disease like diabetes, kidney disease etc
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How do you know if you have soft plaque seeing it doesn’t show on a CAC?
CT angiogram or a heart catheterization will show it.
This raises the question then, should I be taking K2 MK7 if I have some calcification? Or will it pull the patch exposing hot plaque? And, I will watch the live stream!
K2 gave me palpitations, it off sets electrolyte balance with the calcium
@@wread1982 Funny that you just commented on this..just got out the hospital after a 3 day stay..I had such a bad beat (PCAs they said) after I upper my dose to 200mcg for three days that after 3 days of not being able to stand without going down to one knee I went in. First EKG showed depressed ST and it scares them and they put me in..then the third EKG was normal ST with PCAs..
@@Jayson90210 Hi Jayson... I just started 300mcg of K2 and have noticed some odd heart beats. Can you please elaborate a little more on what happened to you. I'm genuinely interested. I recently got a CAC score of 610 and started taking the K2 because I heard it may help in people with CVD.
@BillyBoy66 Hey Billyboy, I haven't had a CAC done although I have a prescription for one. When I was taking 100 mg of K2 I was okay but I started taking 200 micrograms a day and I noticed irregular heartbeats sometimes, well enough that I had to go into emergency. They had no reason for it. To help me sleep, and that can give you an irregular heartbeat as well. To tell you the truth I don't know if it's the K2 and l-theanine or something more Insidious. My cardiologist in the hospital doctors say all is fine but to tell you the truth I don't trust doctors much anymore.
I wish I had more answers for you, I'm going to change a few things up and see if it makes a difference and I will report back. I do go to the gym everyday and keep my heart rate above 150 for about an hour and when it's warm 8 to 10 Mi a day. My cholesterol panel and my ApoB is great because I eat so well I was actually shocked that I had any calcium in my coronary arteries at all.
I'll let you know what I find out okay. Be well.
I had what they thought was a TIA immediately I was put on 80mg statin high blood pressure medicine and Aspirin. I am very concerned about the high dose Statin
My doc has me on 40mg of rouvastatin and 10mg of ezitimibe, because I have genetically high LDLs at 199 (despite my best efforts) and he wants them under 70. Note, I'm a life long endurance athlete (currently age55) who has competed (and still competes) in hundreds of races including marathons, ultramarathons, triathlons, and Ironman events. My diet is good, my weight is good, my BP is good, my TG are good, my glucose is good, resting HR in the mid 40's... Everything is good, but my LDL's. I currently run about 30+ miles/ week, bike 60+ miles/ week, and swim 5,000+ yards/ week, which is something I've done for over the last 15+ years; however, the statin has really impacted my training, because me muscles don't recover, are constantly fatigued, and I'm getting injured as a result. I take CoQ10 to help, but after watching this video I'm wondering if reducing my dose from 40mg to 5mg would still offer the same benefit while producing less leg fatigue, despite not reducing LDL's to the desired level of < 70.
Could you be a lean mass hyper responder? Take a look at the new study. Are you on a low sugar diet?
Studies show that 5mg of Rosuvastatin is 85% as effective and the 40mg dose. Take that for what it's worth. I take the 5mg dose and haven't seen any side effects yet. And BTW, if you are metabolically healthy and only have high LDL (with trigs and HDL at a 1.5:1 ratio or less, for example trigs of 80 and HDL of 60) then a statin is pretty much useless. At least thats what the real science says.
If what you say is true, why doesn’t recent data support this? What you’re saying is mostly theoretical.
K need your help
But raises blood sugar!! Could take vitamin K2 or K7 to reduce calcium plaque? I was prescribed Lipitor, 3 years later I got diabetes as did my father. He was diagnosis
Do statins raise blood sugar?
Sorry, hit go button. Continuing above comment. My father was prescribed Lipitor at 85, three years later became diabetic, at 90 diagnosed terminal so quit Lipitor. Stopped being diabetic. When I saw that I quit Lipitor too. Six months later I had an A1C test at my dr’s. Immediately after test results he was alarmed, said I needed to retest as the test had to wrong as my blood sugar had dropped a lot! Then told him I quit the Lipitor. He YELLED at me! “Everyone in the US takes Lipitor, every dr prescripts it! “ I said “But not to me”. He slammed the door and his nurses were scared. I immediately got a new doctor. This dr said lower dose and not Lipitor so might be considered. I try to keep my current blood sugar low, even to pre-diabetic level and lost 20 lbs, to correct weight range. Good luck everyone! Pray for Ukraine! And us!
@@maiaallman4635 I understand there are studies and cases where taking statins can increase blood sugar. You can search PubMed for papers. PubMed is a search engine for scientific papers like those Dr. Brewer mentions.
1:56 look at the meta analysis from southern Denmark university where they took 11 major trials including the Jupiter study and calculated the longevity benefits of statins for primary prevention they discovered that you gained-5 to 19 days and secondary prevention-10 to 27 days- also the Jupiter trial is severely flawed - the placebo group has 71 more people with metabolic syndrome 51 more women ( over 60 ) and other discrepancies- the crp after 1 year is not much different in the 2 groups and the 4 years where they show lowering doesn’t mention who was followed up since the trial was stopped before it was finished- they messed up the data. Also take a look at the Jama meta analysis of 26 trials that found only a 9 % relative risk reduction in all cause mortality along with a very low 0.8 % absolute risk reduction of all cause mortality. All of this while creating deficiencies. I am not saying there is not a problem but inflammation can be lowered by other means and statins are not the answer.
Paid by pharma.
Where is your proof. Where are your stats? You are not backing up any of these claims. You use qualifiers like not likely and rarely and not as good. You don't use scientific language, but pose as a scientist. Why don't you talk about the FDA, the background of these drugs and what clinical trials really show. Amazing how gullable we as the public are, always eager to believe someone who says he knows
Awesome review. Oh so Dr Brewer, I’m on a statin. I don’t have diabetes. Do I need to take a CO q10 to offset the possible problems in a statin?
Get a C I M T test to see how much soft plaque is in your carotid arteries! Get a calcium heart scan to see how much if any hard plaque is in your arteries.
@@Hanover-ek4jy I’ll check that out. Thanks for your input
It seems to me that Co Q10 is always recommended when taking a statin. At least 100mg per day.
@@lloydhlavac6807 you are absolutely correct!
@Lloyd Hlavac Perhaps you should have said "should" always be taken. My cardiologist said nothing about starting CoQ10 when he prescribed my statin.
Should I take a statin if I don't have plaque. Let's say I score well on the C MIT.
Statins ruined my life!
How?
To decrease inflammation start whole foods plants based diet
Nope